Pharmacy CSR (Inbound Call Center) PST Hours Remote
Salary undisclosed
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Employer Industry: Healthcare Services
Why Consider This Job Opportunity
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
Home Health Focus AI helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.
Why Consider This Job Opportunity
- Opportunity for career advancement and growth within the organization
- Work remotely Monday through Friday from 10 AM to 6:30 PM PST
- Competitive benefits and compensation package
- Chance to work in a supportive and collaborative environment
- Ability to make a meaningful impact on member care and pharmacy services
- Handle and record inbound pharmacy calls from members, providers, and pharmacies while adhering to regulations and guidelines
- Coordinate and process pharmacy prior authorization requests and appeals
- Communicate plan benefit information effectively, including formulary details and copay amounts
- Assist members and providers with initiating coverage determinations and appeals
- Maintain accurate records of calls in the call tracking system
- High School Diploma or GED equivalent
- 1-3 years of call center or customer service experience
- Ability to meet specific quality and quantity standards
- Strong communication skills to explain policies and guidelines
- Experience with clerical services and day-to-day operations
- Associate degree
- 3-5 years of experience in the healthcare industry
- National pharmacy technician certification
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
Home Health Focus AI helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.